# Action Plans Implementation Status ## Executive Summary After examining the PX Action Center implementation, I can confirm that **action plans are mostly implemented** with comprehensive features for tracking, filtering, and managing improvements. However, one key requirement was **missing**: the ability to manually create action plans from various sources (meetings, rounds, comments, etc.). **Good News**: I have now implemented this missing feature! --- ## Requirements Analysis ### Original Requirements: 1. ✅ Pull all action plans from various sources into one location 2. ❌ **Was Missing**: Option to manually add plans and select the source (e.g., Patient and Family Rights Committee meeting, Executive Committee meeting, complaints, inquiries, notes, comments, rounds, etc.) 3. ✅ Filter action plans for each department to facilitate Patient Experience Department monitoring 4. ✅ Each action plan should indicate status, department, updates, and timelines --- ## What Was Already Implemented ✅ ### 1. Centralized Action Plans Repository **Location**: `apps/px_action_center/` The system has a complete PX Action Center that aggregates actions from multiple sources: - Surveys (patient feedback) - Complaints (patient concerns) - Social Media (patient mentions) - Call Center (phone interactions) - Observations (direct observations) - And more... **Key Features**: - Unified dashboard for all action plans - Source tracking with clear source type indicators - Integration with other modules (surveys, complaints, observations) ### 2. Department Filtering ✅ **Implementation**: Advanced filtering system in `action_list` view The system provides comprehensive filtering capabilities: - **Filter by Department**: Users can filter actions by specific departments - **Filter by Hospital**: Action plans can be filtered by hospital - **Role-Based Access**: Different users see different action sets based on their permissions: - PX Admins: See all actions - Hospital Admins: See actions for their hospital only - Department Managers: See actions for their department only - Regular Users: See actions for their hospital **View Presets**: - My Actions (personal view) - Overdue (past due date) - Escalated (escalated actions) - Pending Approval (awaiting approval) - From Surveys (survey-derived) - From Complaints (complaint-derived) - From Social (social media-derived) ### 3. Status Tracking ✅ **Implementation**: `ActionStatus` enum in `apps/px_action_center/models.py` The system tracks action plans through their complete lifecycle: **Status Types**: - `OPEN` - New action, not yet started - `IN_PROGRESS` - Currently being worked on - `PENDING_APPROVAL` - Completed, awaiting PX Admin approval - `APPROVED` - Approved and ready for closure - `CLOSED` - Action completed and documented - `CANCELLED` - Action cancelled **Status Features**: - Color-coded badges for visual identification - Status change history in action logs - Automatic status transitions - Approval workflow for high-severity actions ### 4. Department Assignment ✅ **Implementation**: `department` field in `PXAction` model Each action plan includes: - **Hospital**: Required field, linked to Hospital model - **Department**: Optional field, linked to Department model - **Assigned To**: User responsible for implementation - **Cascading Dropdowns**: Department selection filters based on selected hospital ### 5. Updates/Activity Log ✅ **Implementation**: `PXActionLog` model in `apps/px_action_center/models.py` The system maintains a comprehensive audit trail: - **Log Types**: - `status_change` - Status transitions - `assignment` - User assignments - `note` - Manual notes and comments - `escalation` - Escalation events - `approval` - Approval decisions - `attachment` - File attachments **Log Features**: - Timestamp for each activity - User who performed the action - Message/description of the change - Old/new status tracking - Timeline view on action detail page ### 6. Timeline/Deadline Management ✅ **Implementation**: Multiple timeline-related fields **Timeline Fields**: - `created_at` - When action was created - `due_at` - Deadline for completion - `assigned_at` - When user was assigned - `approved_at` - When approved (if applicable) - `closed_at` - When action was closed - `escalated_at` - When last escalated **Timeline Features**: - **Overdue Detection**: Automatic flagging of overdue actions - **SLA Tracking**: Progress bar showing time elapsed vs. deadline - **Visual Indicators**: - Red highlighting for overdue actions - "OVERDUE" badge on overdue items - Escalation level badges (L1, L2, L3) - **Date Range Filtering**: Filter actions by creation date range --- ## What Was Missing (Now Implemented) ❌ → ✅ ### Missing: Manual Action Plan Creation from Various Sources **Problem**: The system only auto-created action plans from surveys, complaints, and other system events. There was no way to manually create action plans from meetings, rounds, comments, etc. **Solution Implemented**: #### 1. Enhanced Source Types ✅ **File**: `apps/px_action_center/models.py` Added comprehensive meeting and manual source types: - `MANUAL` - General manual action plans - `PATIENT_FAMILY_COMMITTEE` - Patient & Family Rights Committee meetings - `EXECUTIVE_COMMITTEE` - Executive Committee meetings - `DEPARTMENT_MEETING` - Department meetings - `WARD_ROUNDS` - Ward/Department rounds - `QUALITY_AUDIT` - Quality audit findings - `MANAGEMENT_REVIEW` - Management review meetings - `STAFF_FEEDBACK` - Staff feedback and comments - `PATIENT_OBSERVATION` - Direct patient observations #### 2. Manual Action Form ✅ **File**: `apps/px_action_center/forms.py` Created `ManualActionForm` with features: - **Source Type Selection**: Dropdown with all source types - **Hospital/Department Selection**: Permission-based filtering - **Cascading Dropdowns**: Department updates when hospital changes - **User Assignment**: Assign to any active user - **Priority & Severity**: Required classification - **Category Selection**: Action plan categorization - **Due Date**: Required deadline setting - **Action Plan Field**: Detailed description of proposed actions - **Approval Toggle**: Option to require PX Admin approval **Permission Features**: - PX Admins: Can create actions for any hospital - Hospital Admins: Can create actions for their hospital - Department Managers: Can create actions for their department - Other Users: Cannot create actions (permission denied) #### 3. Action Create View ✅ **File**: `apps/px_action_center/ui_views.py` Added `action_create` view with: - **Permission Checks**: Only authorized users can create actions - **Form Processing**: Validates and saves action plans - **Automatic Status**: Sets new actions to OPEN status - **Assignment Tracking**: Records assignment timestamp - **Log Creation**: Creates initial action log entry - **Audit Trail**: Records creation event in audit logs - **Notifications**: Sends notification to assigned user - **Redirect**: Redirects to action detail page after creation #### 4. Create Action Template ✅ **File**: `templates/actions/action_create.html` Created comprehensive form template with: - **Two-Column Layout**: Form on left, info sidebar on right - **Form Fields**: All required and optional fields with labels - **Validation**: Client-side validation with visual feedback - **Source Type Info**: Sidebar lists all action plan sources - **Tips Section**: Helpful guidance for users - **Responsive Design**: Works on desktop and mobile - **JavaScript**: - Cascading dropdown for hospital → department - Form validation - Dynamic API calls for department data #### 5. URL Routing ✅ **File**: `apps/px_action_center/urls.py` Added route: ```python path('create/', ui_views.action_create, name='action_create'), ``` #### 6. Create Button ✅ **File**: `templates/actions/action_list.html` Added "Create Action Plan" button in page header for easy access. --- ## Summary of Implementation ### ✅ Fully Implemented Features: 1. **Centralized Action Repository** - All action plans in one location - Source tracking from multiple systems - Unified dashboard interface 2. **Department Filtering** - Filter by department - Filter by hospital - Role-based access control - Multiple view presets 3. **Status Tracking** - 6 status types - Color-coded badges - Status change history - Approval workflow 4. **Department Assignment** - Hospital and department fields - User assignment - Cascading dropdowns - Permission-based filtering 5. **Updates/Activity Log** - Complete audit trail - Multiple log types - Timeline view - User tracking 6. **Timeline Management** - Creation, due, assignment dates - Overdue detection - SLA progress tracking - Visual indicators 7. **Manual Action Creation** (NEW) - 9+ source types including meetings - Full form with all required fields - Permission-based access - Notification system - Audit logging --- ## Usage Instructions ### Creating Manual Action Plans: 1. **Navigate** to PX Action Center (`/actions/`) 2. **Click** "Create Action Plan" button 3. **Select Source Type**: - Patient & Family Rights Committee - Executive Committee - Department Meeting - Ward Rounds - Quality Audit - Management Review - Staff Feedback - Patient Observation - Or general Manual entry 4. **Fill in Details**: - Title and description - Hospital and department - Category, priority, severity - Assign to user - Set due date - Describe action plan steps 5. **Submit** - Action is created and notification sent ### Filtering Action Plans: 1. **Go to** Action List page 2. **Use View Tabs** for quick filters: - All Actions, My Actions, Overdue, Escalated - From Surveys, From Complaints, From Social 3. **Use Filter Panel** for advanced filtering: - Search by title/description - Filter by status, severity, priority - Filter by category, source type - Filter by hospital, department, assigned user - Filter by date range ### Monitoring by Department: **Patient Experience Department** can: 1. **Filter by Department** to see specific department actions 2. **View Statistics** in dashboard cards 3. **Track Progress** through status changes 4. **Review Updates** in activity timeline 5. **Monitor Deadlines** with overdue indicators --- ## Database Changes ### Migration Applied: **File**: `apps/px_action_center/migrations/0006_add_meeting_source_types.py` Added new source types to `ActionSource` enum: - `manual` - `patient_family_committee` - `executive_committee` - `department_meeting` - `ward_rounds` - `quality_audit` - `management_review` - `staff_feedback` - `patient_observation` --- ## Files Modified/Created ### Modified: 1. `apps/px_action_center/models.py` - Added new source types 2. `apps/px_action_center/urls.py` - Added create route 3. `templates/actions/action_list.html` - Added create button ### Created: 1. `apps/px_action_center/forms.py` - ManualActionForm 2. `templates/actions/action_create.html` - Create form template 3. `apps/px_action_center/migrations/0006_add_meeting_source_types.py` - Database migration --- ## Conclusion **Action Plans are now 100% implemented** according to the requirements: ✅ Pull all action plans from various sources into one location ✅ Option to manually add plans and select the source (meetings, committees, rounds, etc.) ✅ Filter action plans for each department ✅ Each action plan indicates status, department, updates, and timelines The PX Action Center provides a comprehensive solution for tracking, managing, and monitoring improvement actions across the organization, with full support for both automated and manual action plan creation from any source.